NPI 1649484908 · live from the CMS NPI Registry
Kristin Agar, LCSW, CIP, CAI
Social Worker, Clinical in Little Rock, AR. National Provider Identifier 1649484908, active.
NPI record
| NPI | 1649484908 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2723 Foxcroft Rd, Suite 310, Little Rock, AR 72227 |
| Practice phone | 501-258-5393 |
| Enumerated | May 9, 2007 |
| Last updated | September 26, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 005-C (AR) |
| Counselor, Mental Health | 101YM0800X | 005-C (AR) |
| Social Worker, Clinical primary | 1041C0700X | C-005 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.